{include file="public/loghead" /}
    <div class="xlogin center-block">
        <form action="?type=aq&step=2" method="post">
            <div class="xlogin2 form-horizontal">
                <div class="lo1">使用密保找回密码，第二步</div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">会员账号:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="username" name="username" readonly placeholder="您的会员账号" value="13524490259">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">密保问题1:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="a1" name="a1" readonly placeholder="您的密保问题1" value="111">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">答案1:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="q1" name="q1" placeholder="请填写您的答案1" value="">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">密保问题2:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="a2" name="a2" readonly placeholder="您的密保问题2" value="33">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">答案2:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="q2" name="q2" placeholder="请填写您的答案2" value="">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">密保问题3:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="a3" name="a3" readonly placeholder="您的密保问题3" value="222">
                    </div>
                </div>
                <div class="form-group">
                    <label for="username" class="col-sm-4 control-label">答案3:</label>
                    <div class="col-sm-8">
                        <input class="form-control" id="q3" name="q3" placeholder="请填写您的答案3" value="">
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-offset-3 col-sm-5">
                        <div class="checkbox">&nbsp;</div>
                    </div>
                    <div class="col-sm-4"><button type="submit" class="btn btn-primary form-control denglugo">提交验证</button></div>
                </div>
            </div>
        </form>
    </div>
</div>
{include file="public/logfoot" /}